TY - JOUR AU - Jones, Grant AU - Castro-Ramirez, Franchesca AU - Al-Suwaidi, Maha AU - McGuire, Taylor AU - Herrmann, Felipe PY - 2023 DA - 2023/11/24 TI - A Brief, Digital Music-Based Mindfulness Intervention for Black Americans With Elevated Race-Based Anxiety and Little-to-No Meditation Experience (“healing attempt"): Replication and Extension Study JO - JMIR Form Res SP - e53268 VL - 7 KW - Black music KW - mindfulness KW - meditation KW - music KW - song KW - psychotherapy KW - self-compassion KW - ethnic KW - cultural KW - single-case experiment KW - race KW - anxiety KW - digital health intervention KW - Black KW - digital health KW - low income KW - racial disparity KW - mental health AB - Background: Race-based anxiety is a critical health issue within the Black community. Mindfulness interventions hold promise for treating race-based anxiety in Black Americans; however, there are many barriers that prevent Black Americans from using these treatments, such as low cultural relevance, significant time burdens, and excessive costs. Objective: This study is a replication and extension of findings that “healing attempt”—a brief (<60-minute), digital, music-based mindfulness intervention—is a feasible and acceptable intervention for race-based anxiety in Black Americans. In this study, we tested this research question among those with little-to-no meditation experience. Methods: The participants were 4 Black American adults with elevated race-based trait anxiety and little-to-no meditation experience. We used a series of multiple-baseline single-case experiments and conducted study visits on Zoom (Zoom Video Communications) to assess whether the intervention can decrease state anxiety and increase mindfulness and self-compassion in Black Americans. We also assessed feasibility and acceptability using quantitative and qualitative scales. Results: In line with our hypotheses, “healing attempt” increased mindfulness/self-compassion (Tau-U range: 0.57-0.86; P<.001) and decreased state anxiety (Tau-U range: –0.93 to –0.66; P<.001), with high feasibility and acceptability (the average likelihood of recommending “healing attempt” was 88 out of 100). Conclusions: “healing attempt” may represent a feasible intervention for race-based anxiety in Black Americans with elevated race-based anxiety and little or no mindfulness experience. Future between-subjects randomized feasibility trials can assess whether the intervention can give rise to lasting improvements in race-based anxiety, mindfulness, and self-compassion. Trial Registration: OSF Registries osf.io/k5m93; https://osf.io/k5m93 SN - 2561-326X UR - https://formative.jmir.org/2023/1/e53268 UR - https://doi.org/10.2196/53268 UR - http://www.ncbi.nlm.nih.gov/pubmed/37999941 DO - 10.2196/53268 ID - info:doi/10.2196/53268 ER -